HEART DISEASE and SODIUM
Cardiovascular disease can take many forms: high blood pressure, coronary artery disease, valvular heart disease, stroke, or rheumatic fever/rheumatic heart disease. In the United States, more than 80 million Americans have some form of cardiovascular disease. About 2400 people die every day of cardiovascular disease. Cancer, the second largest killer, accounts for a little more than half as many deaths.
Coronary artery disease, the most common form of cardiovascular disease, is the leading cause of death in America today. But thanks to many studies involving thousands of patients, researchers have found certain factors that play an important role in a person's chances of developing heart disease. These are called risk factors.
Risk factors are divided into two categories: major and contributing. Major risk factors are those that have been proven to increase your risk of heart disease. Contributing risk factors are those that doctors think can lead to an increased risk of heart disease, but their exact role has not been defined.
The more risk factors you have, the more likely you are to develop heart disease. Some risk factors can be changed, treated, or modified, and some cannot. But by controlling as many risk factors as possible through lifestyle changes, medicines, or both, you can reduce your risk of heart disease.
SODIUM and YOUR HEALTH
When you look at your food, some ingredients are easy to see. For example, there is obviously milk in your cereal, cheese on your pizza and peanut butter on your toast.
But your meals are also filled with ingredients you can’t see. And you might be surprised to learn just how much those hidden items affect your health.
Salt is a perfect example of an ingredient that you might not notice, even when you eat a lot of it.
Sometimes, salt is obvious. You can see it on pretzels. You can taste it on french fries. And you can sprinkle it on green beans, straight from the shaker.
But it’s the salt we can’t see that concerns scientists most. For decades, doctors have warned patients that too much salt can be bad for their hearts. Still, most Americans continue to eat way too much salt, even when they try to avoid the salt shaker.
That’s because more than 75 percent of the salt we eat is hidden in restaurant meals, fast food and processed foods, such as spaghetti sauce from a jar, canned soup and frozen pizza. Often, you can’t even taste that the salt is there.
Heart trouble has long been considered a grown-up problem, and parents haven’t worried too much about the salt their kids eat. But new research suggests that salt is starting to affect kids — in their hearts, kidneys and waistlines.
“Most national heads of policy-making bodies in the United States and Canada and Great Britain are reaching the same conclusion,” says Lawrence Appel, professor of medicine at the Johns Hopkins University School of Medicine in Baltimore. “Reduce your salt intake.”
Straight to the heart
Salt is made up of two elements, or basic components: sodium and chlorine. When put in food or liquid, salt, also called sodium chloride, or NaCl, breaks into its two elements.
The chlorine part of salt isn’t that important. It’s the sodium that can stir up trouble.
We need a small amount of sodium to keep our muscles working and our nerves sending messages throughout the body. But the amount of sodium we actually need is really tiny: about 500 milligrams, or less than a quarter teaspoon of salt. A little bit goes a long way.
Dietary guidelines in the United States and elsewhere recommend that healthy adults consume no more than 2,300 milligrams of sodium a day. That’s about a teaspoonful of salt.
Kids ages 9 to 13 should eat no more than 1,500 to 2,200 mg of sodium a day. Younger kids should get even less.
But the average American eats about twice the recommended daily amount. This worries doctors because too much sodium can cause the body to produce more blood. To pump the extra blood, the heart has to work extra hard. This leads to a rise in blood pressure — a measurement of how stressed out the heart is. High blood pressure, also known as hypertension, often leads to heart disease. Heart disease is the leading cause of death in the United States and can lead to ailments like heart attacks.
“Ninety percent of adult Americans develop hypertension in their lifetimes,” Appel says. It’s a big problem.
Start thinking about salt now
Like most kids, you probably don’t spend much time worrying about heart disease. After all, hypertension tends to become more common as people reach middle age and older.
But doctors say it’s never too early to start thinking about your heart — or about salt.
Blood pressure has been going up over the past decade in children and teenagers in the United States and many European countries. And a kid with high blood pressure is more likely to become a grown-up with hypertension.
“It’s better to not have a lifelong exposure to high blood pressure,” Obarzanek says.
Cutting down on salt might help stop the cycle. In one recent study, researchers from the United Kingdom analyzed 10 trials involving nearly 1,000 kids. The trial results showed that lowering sodium intake by 40 to 50 percent led to a significant decrease in blood pressure, even in infants.